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1215632898
JACK DOUGLAS SUDDUTH
LITTLE ROCK, AR
NPI
1215632898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
JACK DOUGLAS SUDDUTH MD, MS
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205-7101
Phone number: 501-526-7485
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Mailing Address
JACK DOUGLAS SUDDUTH MD, MS
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205-7101
Phone number:
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